ISSAC PEDRO DOMENECH-GONZALEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082944

License Status

ACTIVE

Business

Title

First Name

ISSAC

Middle

PEDRO

Last Name

DOMENECH-GONZALEZ

Business Name

ISSAC PEDRO DOMENECH-GONZALEZ MD

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

06/22/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/28/2023